Siu-Mei Chan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME100289 Issued in FL

Practice address

8333 NW 53Rd St Ste 450
Doral, FL 33166

Phone

(786) 805-4100

Fax

(855) 252-4443

NPI assigned

Apr 14, 2006

Last updated

Mar 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Ohio Surgery, Inc.

  • Surgery Physician
  • Elyria, OH
  • NPI 1972601474
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1447214572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST STE 450",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664837",
            "telephone_number": "786-805-4100",
            "fax_number": "855-252-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST STE 450",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-805-4100",
            "fax_number": "855-252-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22974 Overseas Hwy",
            "address_2": "CENTRAL BUSINESS OFFICE",
            "address_purpose": "LOCATION",
            "city": "Cudjoe Key",
            "state": "FL",
            "postal_code": "330424254",
            "country_code": "US",
            "telephone_number": "305-745-7359",
            "fax_number": "305-745-7360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22974 Overseas Hwy",
            "address_2": "CENTRAL BUSINESS OFFICE",
            "address_purpose": "LOCATION",
            "city": "Cudjoe Key",
            "state": "FL",
            "postal_code": "330424254",
            "country_code": "US",
            "telephone_number": "305-745-7359",
            "fax_number": "305-745-7360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SIU-MEI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-07-5557C",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME100289",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME100289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2216846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Chacon Carrero, MD
• Giuliana Andreina Chacon Corallo
• Celeste Chades
• Rene' Janelle Chadwell, MPAS, PA-C
• Paola Teresa Chamorro, M.D.
• Mei Lin Chang Alonso
• Antonio F. Chang, PA-C
• Christian Chang
• Rose Marie Chang
• Saily Chang

• Surgery Physician in Doral, FL
• Providers in Doral, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.